The Philosophy of Health; Volume 2 (of 2): or, an exposition of the physical and mental constitution of manSmith, Southwood
Science
The Philosophy of Health; Volume 2 (of 2): or, an exposition of the physical and mental constitution of man
Smith, Southwood
Hygiene; Physiology
679. The mesentery is a broad membrane composed of two layers of
peritoneum. Between these two layers, at one extremity of the
duplicature, is placed the intestines, while the other extremity is
attached to the spinal column. The mesentery being much shorter than
the intestines, the intestines are gathered or puckered upon the
membrane, by which beautiful mechanical contrivance they are held in
firm and close contact with each other, yet their convolutions cannot
be entangled, nor can they be shaken from their place by the sudden
and often violent movements of the body. It sometimes happens, in
consequence of disease, that the convolutions of the intestines are
glued together by the effusion of lymph, and then the most trifling
causes are capable of producing the severest symptoms of obstruction in
the bowels.
680. The internal surface of the small intestines is distinguished,
1. By the number of the mucous glands, which may be seen by a
magnifying glass to consist partly of a prodigious number of the
minutest follicles, not collected in groups, but equally scattered
throughout; and partly of glands of a larger dimension, disposed in
groups at particular parts of the canal.
2. By the increase in the number and size of the villi, of which there
are about four thousand to the surface of a square inch. Like those of
the stomach, the villi of the small intestine are composed of arteries,
veins, nerves, and mucous ducts; but to the villi of the small
intestine, in length about one-fourth of a line, there is added a new
vessel, the absorbent of the chyle, the lacteal (figs. 175 and 176), so
named from the milk-like chylous fluid which it contains.
3. By the great extension of the mucous coat obtained by the
disposition of the membrane into the folds called valvulæ conniventes
(fig. CLXXIII.). These folds, which rarely extend through the whole
circle of the intestine, are often joined by communicating folds (fig.
CLXXIII.). The folds are broadest in the middle, and narrowest at the
extremities (fig. CLXXIII.). In general, they are about a line and a
half broad. One edge of the fold is loose, but the other is fixed to
the intestine (fig. CLXXIII.). The office of these folds is, first,
without increasing space, to extend surface for the distribution of the
villi; and, secondly, to retard the flow of the chyle, by opposing to
its descent valves so constructed and disposed as, without arresting
its progress, to moderate and regulate its course, in order that time
may be allowed for its absorption.
[Illustration: Fig. CLXXIII.
Internal view of a portion of the jejunum, showing the arrangement of
the mucous membrane into valvulæ conniventes.]
[Illustration: Fig. CLXXIV.—_View of the Outer Coats of the Small
Intestine._
1. Peritoneal coat reflected off. 2. Muscular Coat consisting of—_a._
longitudinal fibres. _b._ Circular fibres.]
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